Organization Active NPI

Roots and Rivers Psychological Services LLC

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1902702400
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROOTS AND RIVERS PSYCHOLOGICAL SERVICES LLC
Practice address
300 N Washington St Ste 102E
Falls Church, VA 22046-3441
Phone
(703) 249-9565
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zachary Shifflett, LPC, CSACNPI 1427704089
Title
President
Phone
(703) 249-9565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

300 N Washington St Ste 102E
Falls Church, VA 22046-3441

Mailing address

300 N Washington St Ste 102E
Falls Church, VA 22046-3441
Phone (703) 249-9565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1902702400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 102E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463441",
            "telephone_number": "703-249-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 102E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463441",
            "telephone_number": "703-249-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS AND RIVERS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "SHIFFLETT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-249-9565",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.